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Leon Gauthier, PA-C
NPI 1033145172 · on the registry since 2006
Practice
- Address
- 220 N Park Ave
Suite 2
Herrin, IL 62948 - Phone
- (618) 942-3344
- Fax
- (618) 942-5045
- Organisation at this address
- Southern Illinois Dermatology, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois